"Can" sure... likely to for most orgs no. Certainly not for someone running a 5 figure cloud bill...
as a reference, our standard compute server we use on prem is $12,000 including a 5 year support contract.
> At a certain point, you might outgrow someones else's cloud and build your own,
If your buying $100K servers, and $100K network devices, I pretty sure you are at the point